Podcasts about clin j sport med

En el Episodio 231 os presento el primer estudio que investiga si la suplementación con creatina está relacionada con la pérdida de cabello. ➜Software Dietético Nutrium (#ad): https://nutrium.com/product Redes José María Puya: 📷Instagram: https://www.instagram.com/josekenji​​ 🍊Nutricionista Online: https://alimentologia.com/asesorias​​ 🌐Mi tienda de Amazon*: https://www.amazon.es/shop/josekenji 📪Mail: alimentologia@gmail.com 🔵Twitter: @josekenji​​ Estudios: ▪️Lak M, Forbes SC, Ashtary-Larky D, Dadkhahfar S, Robati RM, Nezakati F, Khajevandi M, Naseri S, Gerafiani A, Haghighat N, Antonio J, Tinsley GM. Does creatine cause hair loss? A 12-week randomized controlled trial. J Int Soc Sports Nutr. 2025 Sep;22(sup1):2495229. ▪️van der Merwe J, Brooks NE, Myburgh KH. Three weeks of creatine monohydrate supplementation affects dihydrotestosterone to testosterone ratio in college-aged rugby players. Clin J Sport Med. 2009 Sep;19(5):399-404. *En calidad de Afiliado de Amazon, obtengo ingresos por las compras adscritas que cumplen los requisitos aplicables (enlace pagado).

La deshidratación crónica leve es una epidemia, se calcula que hasta el 55% de la población joven puede padecerla. Es una condición con frecuencia pasada por alto y que tiene serios efectos negativos sobre la cognición, la salud cardiovascular, gastrointestinal, articular, entre otros. En este episodio explicamos de qué se trata la deshidratación crónica leve, los efectos que produce, cómo detectarla y cómo prevenirla.Enlaces a nuestras redes sociales:Instagram⁠⁠⁠@brainfulnesspod⁠⁠⁠⁠⁠⁠@ladoctoraneuro⁠⁠Youtube⁠⁠@brainfulness⁠⁠Twitter/X⁠⁠⁠@brainfulness⁠pod⁠⁠Página web⁠⁠www.brainfulnes.life⁠⁠Blog⁠⁠https://brainfulness.life/blogReferencias bibliográficasMitchell, H. H., Hamilton, T. S., Steggerda, F. R., & Bean, H. W. (1945). The chemical composition of the adult human body and its bearing on the biochemistry of growth. Journal of Biological Chemistry, 158(3), 625-637.Maroudas A. Fluid transport in cartilage. Ann Rheum Dis. 1975 Dec;34 Suppl 2:Suppl 77-81. PMID: 25330584.Kenney, E. L., Long, M. W., Cradock, A. L., & Gortmaker, S. L. (2015). Prevalence of inadequate hydration among US children and adolescents: A population-based analysis. Journal of the Academy of Nutrition and Dietetics, 115(6), 943-951.Valtin H. "Drink at least eight glasses of water a day." Really? Is there scientific evidence for "8 x 8"? Am J Physiol Regul Integr Comp Physiol. 2002 Nov;283(5):R993-1004. doi: 10.1152/ajpregu.00365.2002. PMID: 12376390.Sawka MN, Burke LM, Eichner ER, Maughan RJ, Montain SJ, Stachenfeld NS. Hydration and Performance. Sports Science Exchange. 2007;20(2):1-5.Benton D, Burgess N. The effect of the consumption of water on the memory and attention of children. Appetite. 2009;53(1):143-6.Benton D, Young HA. Reducing calorie intake may not help you lose body weight. Perspect Psychol Sci. 2017;12(5):703-714. (Nota: Este es un ejemplo más reciente; el estudio de 2016 mencionado en la respuesta no es accesible, así que se proporciona esta alternativa.)Palma L, Tavares L, Santos O, et al. Dietary water affects human skin hydration and biomechanics. Clin Cosmet Investig Dermatol. 2015;8:413-21.Dennis EA, Dengo AL, Comber DL, et al. Water consumption increases weight loss during a hypocaloric diet intervention in middle-aged and older adults. Obesity (Silver Spring). 2010;18(2):300-7.Manz F, Wentz A. The importance of good hydration for the prevention of chronic diseases. Nutr Rev. 2005;63(6 Pt 2):S2-S5.Dennis EA, Dengo AL, Comber DL, et al. Water consumption increases weight loss during a hypocaloric diet intervention in middle-aged and older adults. Obesity (Silver Spring). 2010;18(2):300-7.Boschmann M, Steiniger J, Hille U, et al. Water-induced thermogenesis. J Clin Endocrinol Metab. 2003;88(12):6015-9.Shirreffs SM, Maughan RJ. The effect of alcohol on athletic performance. Curr Sports Med Rep. 2006;5(4):192-6.Sawka MN, Burke LM, Eichner ER, et al. American College of Sports Medicine position stand. Exercise and fluid replacement. Med Sci Sports Exerc. 2007;39(2):377-90.Jeukendrup AE, Currell K. Should energy drinks be banned from sport? Int J Sport Nutr Exerc Metab. 2008;18(5):519-29.Rehrer NJ, Brouns F, Beckers EJ, et al. Physiological changes and gastro-intestinal symptoms as a result of ultra-endurance running. Eur J Appl Physiol Occup Physiol. 1992;64(1):1-8.Rosner MH, Kirven J. Exercise-associated hyponatremia. Clin J Am Soc Nephrol. 2007;2(1):151-61.Hew-Butler T, Ayus JC, Kipps C, et al. Statement of the Second International Exercise-Associated Hyponatremia Consensus Development Conference, New Zealand, 2007. Clin J Sport Med. 2008;18(2):111-21.Ayus JC, Arieff A. Pathogenesis and prevention of hyponatremia. Endocrinol Metab Clin North Am. 1993;22(2):437-49.

Episode 180: Pediatric Hip PainFuture Dr. Pena-Brockett explains the differential diagnosis in a 14-year-old patient who has a new onset of left hip pain. Dr. Arreaza adds comments and explains toxic synovitis.  Written by Natalie Pena-Brockett, MSIV, California Health Sciences University. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Having a limping kid can be terrifying. Many questions may cross your mind: Is this a permanent damage? What is going on here? Where is the pain located? Do I need to send this child to the hospital? Today, hopefully, we can help you ease some of your fears. Case: This is a 14-year-old boy with no past medical history, no trauma, presents to the family medicine clinic with a complaint of left-sided hip pain. Mom notes that her son has been limping for the last week and complaining of pain in his left hip and knee when he walks. He has never experienced this pain before this week. He does not take any medications. Physical exam: He is afebrile and all of his vitals are within normal limits. On exam, you note that his BMI is at the 90th percentile (overweight), and has an antalgic gait where he is favoring the right side and has tenderness on his left groin. His left foot is turned outward while standing up straight. His left knee has negative findings on specialized tests, but he has restricted movement of the left hip. Discussion: This is a common topic that you will see on board exams or limping into your office. Although pediatric hip pain may seem like a benign musculoskeletal concern, taking the time to take a complete history and perform a thorough physical exam is critical to assess the severity of the patient's concern.Physical Exam for Pediatric Hip Pain.Observation: Every physical exam begins the moment you first see the patient. This allows you to gauge the patient's comfort level, the natural stature, length, and positioning of the patient's extremities, skin changes, gait, and ability to bear weight. Palpation: In medicine, our hands are one of our greatest tools for evaluating patients, especially those with musculoskeletal concerns. This is the time to palpate the area for any tenderness or gross deformities of the pelvis, hip, knee, or leg. Special Tests: In the world of MSK, we have all sorts of tests to evaluate the range of movement of our joints and tendons. When specifically evaluating the hip, the most common are the FABER(flexion, abduction, external rotation),test to assess the sacroiliac joint, Ober's Test to assess the iliotibial band, and Straight Leg Raise to assess for lumbar radiculopathy.Legg-Calve Perthes Disease-Legg-Calve Perthes disease is an idiopathic avascular necrosis of the femoral head. -It is most commonly observed in patients between the ages of 2-12 years and in a higher ratio of males to females 1. -It often manifests as an atraumatic limp with limited movement in abduction and internal rotation. -X-ray imaging may demonstrate a widening of the joint space and sclerosis of the femur, and MRI will confirm osteonecrosis of the femoral head. -Early diagnosis is key to minimizing the risk of developing osteoarthritis of the hip. -The goal of treatment is to maintain the shape of the femoral head and the range of motion of the hip. -The first-line treatment includes managing pain with NSAIDs, limiting weight-bearing activity, and physical therapy for range of motion.-If the disease progresses, bracing and casting can be used to retain the femoral head within the acetabulum to keep the shape and integrity of the femoral head. In more serious cases, a surgical osteotomy may be done to cut and realign the bones. Developmental Dysplasia of the Hip (DDH)-Developmental Dysplasia of the Hip (DDH) is a pediatric condition that results in unilateral or bilateral instability of the hip due to the abnormal development of the acetabulum or femur. -This is most commonly seen in newborns, especially those which develop in a breech position. -These patients often present with a shortened leg or asymmetric gluteal creases and a Trendelenburg gait when walking. -The Trendelenburg gait is an abnormal gait caused by weak hip abductor muscles. The person's trunk shifts over the affected hip during the stance phase of walking and away from it during the swing phase, making it look like the person is missing steps or limping. -On physical exam, hip joint laxity can be evaluated with the Ortolani and Barlow maneuvers to apply pressure to the proximal femur to assess dislocatability of the hip joints. These maneuvers would both be considered positive if a “clunk” is felt over the hip as this means that the hip is dislocated with pressure. Due to the patient's age usually being under 6 months old, ultrasound is the most common imaging modality to confirm the diagnosis, otherwise, an X-ray can be used. -The treatment in patients under 18 months old, a Pavlik Harness is often used to treat patients to maintain the placement of the hip within the acetabulum. -Patients between the ages of 18 months and 9 years old, are most often treated with open or closed reduction of the hip. -There is generally less success in reduction treatment of children older than 9 years old as they have likely developed femoral head deformities and are at greater risk of osteonecrosis. -Children with DDH should continue to be monitored with regular imaging to evaluate for complications. These patients should also be made aware that they are also at increased risk of requiring a hip replacement, especially if their treatment included a reduction. 2Slipped Capital Femoral Epiphysis (SCFE)-Slipped Capital Femoral Epiphysis (SCFE) is one of the most common pediatric hip pathologies in which the capital femoral epiphysis is anterolaterally displaced from the femoral neck. -Although slightly more common in males than females between the ages of 10 to 16, the greatest risk factor for an SCFE is childhood obesity 3. -Common symptoms include an insidious onset of unilateral hip pain and a change in gait due to the displacement of the hip from the acetabulum. In some instances of chronic SCFE, some patients will experience ipsilateral knee pain due to compensation. -A SCFE can be evaluated with an AP radiograph which will demonstrate a widened physis in the early stages or the classic “slipped ice cream cone sign” which is the posterior displacement of the femoral epiphysis. -Management of a SCFE includes limiting weight-bearing activities as well as screw fixation by an orthopedic surgeon to stabilize the hip.Patients should consider pinning the contralateral hip due to increased risk of developing a future SCFE. Early diagnosis is critical as untreated SCFE can lead to osteonecrosis.Osgood-Schlatter-Osgood-Schlatter is a repetitive-use pediatric condition as a result of traction to the growth plate of the tibial tubercle. -This pathology is most common in male children between the ages of 9 to 14 years old 4. -Active athletes or children with rapid growth spurts are at greater risk of developing Osgood-Schlatter than non-active children.-These children often present with an achy knee pain that can lead to a unilateral limping gait.  On physical exam, these patients often have a bony prominence over the tubercle that is tender to palpation with greater tenderness over the patellar tendon. -The knee will have full range of motion and stability, but will likely have a warmth and erythema over the knee.  Imaging of the knees can have nonspecific findings and diagnosis is made clinically. -For management, it is recommended that children continue their regular activities and rest with NSAIDs for pain management as needed 5. Physical therapy can be prescribed to prevent deconditioning as this can result in recurrence or additional injuries.Arreaza: It seems like the pain is more localized to the knee, but it can be referred to the hip. If you have tenderness on the tibial tubercle, you got the diagnosis. Juvenile Idiopathic Arthritis (JIA)-Juvenile Idiopathic Arthritis (JIA) is a systemic rheumatologic condition in children that often presents as a polyarticular pain. The onset of disease is often bimodal with peaks between 2 to 5 years old and 10 to 14 years old. 6-Patients will often complain of minor symmetric joint pain and stiffness until an infection causes an inflammatory reaction that exacerbates the joint pain or can increase joint involvement. Small joints are the most likely to be involved, but hips and knees can also be affected. -Lab evaluation will demonstrate inflammation with an elevated ESR, low hemoglobin, and a positive ANA. -Disease management starts with NSAIDS for pain control and can escalate to immunosuppressive measures for moderate disease7.Toxic Synovitis-Toxic synovitis, also known as transient synovitis, is the leading cause of acute hip pain and limping in children aged 2–12, more commonly affecting boys. -This self-limited inflammatory condition, often confused by its name as "toxic," has no relation to a toxic state. It typically arises after an upper respiratory or other viral infection (e.g., rubella or coxsackie virus).-Children with toxic synovitis may show mild to moderate hip pain, limp, and keep their hip in abduction and external rotation. Movement is usually possible within a limited range, and weight-bearing is often maintained.-Evaluation: A thorough history and physical exam are key, as laboratory tests like CBC, ESR, and CRP are often normal, mainly used to rule out other conditions like septic arthritis. X-rays typically show no abnormalities, although small changes may appear. Ultrasound can help detect joint effusion and rule out septic arthritis if no effusion is present.Arreaza: DDX: DDH, SCFE, Osgood Schlatter, and toxic synovitis.Osteopathic Manipulative Treatment in Pediatric Hip PathologiesSacroiliac Articulatory Technique- this is a technique in which you move the joint into an out of its barrier to reduce restriction and improve movementCounterstrain of Tender points (psoas, piriformis, hip adductors)- in this technique we shorten the muscle to decrease tension.  This allows the muscle to increase blood lymphatic flow to reduce nociceptive and proprioceptive activity of the muscleBalanced Ligamentous Tension of the Innominate- with this technique, we manipulate the joint in a way that moves the ligaments into neutral position so that there is balance in all planes of motion.  The goal is to again release tension within the muscles and the jointClinical Decision Making Now that we have covered the most common differential diagnoses for pediatric hip pain, let's revisit our patient presentation and identify the key characteristics to determine which diagnosis he most likely has.The patient is 14 years old.  This makes DDH and Legg-Calve Perthe less likely, and SCFE more likely.He has been complaining of symptoms for 1 week, which indicates that is not likely a chronic condition. This makes DDH and Osgood-Schlatter less likely.The patient has never experienced joint pain like this before.  This makes JIA, DDH, and Osgood-Schlatter less likely.The patient is overweight. This makes SCFE more likely.The unilateral hip tenderness and no knee pain.      This makes Osgood-Schlatter and JIA less likely.The patient has antalgic gait and limited internal rotation of the foot. This makes Legg-Calve Perthes and SCFE more likely. Now when we take the epidemiological factors, the history of the present illness, and the physical exam findings into account, this patient's presentation best aligns with a SCFE. We would order a bilateral AP and Frog-leg views of the hips. If either imaging shows a widened physis or the classic “ice cream cone sign”, this is when we would start the referral process for an orthopedic surgery consultation for internal fixation. As family medicine physicians, we would give instructions for strict non-weight bearing activities and analgesics or anti-inflammatories for pain management.Keep in mind some of the DDX: Calve Legg-Perthes disease, Developmental Dysplasia of the Hip (DDH), Juvenile Idiopathic Arthritis (JIA), Osgood Schlatter, toxic synovitis, and Slipped Capital Femoral Epiphysis (SCFE). Hopefully, the next time you have a pediatric patient present with a complaint of hip pain, you'll feel more comfortable evaluating and working up the case._________________________This week we thank Hector Arreaza and Natalie Pena-Brockett. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Osteonecrosis of the femoral head / Legg-Calvé-Perthes disease | Time of Care. Accessed October 27, 2024. https://www.timeofcare.com/osteonecrosis-of-the-femoral-head-legg-calve-perthes-disease/Scott EJ, Dolan LA, Weinstein SL. Closed Vs. Open Reduction/Salter Innominate Osteotomy for Developmental Hip Dislocation After Age 18 Months: Comparative Survival at 45-Year Follow-up. J Bone Joint Surg Am. 2020;102(15):1351-1357. doi:10.2106/JBJS.19.01278. https://europepmc.org/article/med/32769602Perry DC, Metcalfe D, Costa ML, Van Staa T. A nationwide cohort study of slipped capital femoral epiphysis. Arch Dis Child. 2017;102(12):1132-1136. doi:10.1136/archdischild-2016-312328. https://pubmed.ncbi.nlm.nih.gov/28663349/Haines M, Pirlo L, Bowles K-A, Williams CM. Describing Frequencies of Lower-Limb Apophyseal Injuries in Children and Adolescents: A Systematic Review. Clin J Sport Med. 2022;32(4):433-439. doi:10.1097/JSM.0000000000000925. https://pubmed.ncbi.nlm.nih.gov/34009802/Wall EJ. Osgood-Schlatter disease: practical treatment for a self-limiting condition. Phys Sportsmed. 1998;26(3):29-34. doi:10.3810/psm.1998.03.802. https://pubmed.ncbi.nlm.nih.gov/20086789/Oberle EJ, Harris JG, Verbsky JW. Polyarticular juvenile idiopathic arthritis - epidemiology and management approaches. Clin Epidemiol. 2014;6:379-393. doi:10.2147/CLEP.S53168. https://pubmed.ncbi.nlm.nih.gov/25368531/Beukelman T, Patkar NM, Saag KG, et al. 2011 American College of Rheumatology recommendations for the treatment of juvenile idiopathic arthritis: initiation and safety monitoring of therapeutic agents for the treatment of arthritis and systemic features. Arthritis Care Res (Hoboken). 2011;63(4):465-482. doi:10.1002/acr.20460. https://pubmed.ncbi.nlm.nih.gov/21452260/Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

L'esercizio fisico influisce direttamente sulla pressione arteriosa, portando a benefici sia a breve che a lungo termine. Esploriamo le strategie migliori per gestire l'ipertensione attraverso attività aerobiche e di resistenza. L'allenamento può aiutarti a mantenere la salute cardiovascolare e ridurre i rischi associati all'ipertensione. Segui Postura Da Paura su Instagram e Facebook per trovare altri consigli e informazioni per vivere una vita più equilibrata e serena. Per noi il movimento è una medicina naturale, visita il sito www.posturadapaura.com per trovare il programma di allenamento più adatto alle tue esigenze. Come promesso ecco le fonti citate durante la puntata:  Romero SA, Minson CT, Halliwill JR. The cardiovascular system after exercise. J Appl Physiol (1985). 2017;122(4):925-932. doi:10.1152/japplphysiol.00802.2016 Privett SE, George KP, Whyte GP, Cable NT. The effectiveness of compression garments and lower limb exercise on post-exercise blood pressure regulation in orthostatically intolerant athletes. Clin J Sport Med. 2010;20(5):362-367. doi:10.1097/JSM.0b013e3181f20292 MacDonald HV, Johnson BT, Huedo-Medina TB, et al. Dynamic Resistance Training as Stand-Alone Antihypertensive Lifestyle Therapy: A Meta-Analysis. J Am Heart Assoc. 2016;5(10):e003231. Published 2016 Sep 28. doi:10.1161/JAHA.116.003231 Nascimento LS, Santos AC, Lucena J, Silva L, Almeida A, Brasileiro-Santos MS. Acute and chronic effects of aerobic exercise on blood pressure in resistant hypertension: study protocol for a randomized controlled trial. Trials. 2017;18(1):250. Published 2017 Jun 2. doi:10.1186/s13063-017-1985-5 Perrier-Melo RJ, Germano-Soares AH, Freitas Brito A, Vilela Dantas I, da Cunha Costa M. Post-exercise hypotension in response to high-intensity interval exercise: Potential mechanisms [published online ahead of print, 2021 Aug 11]. Rev Port Cardiol (Engl Ed). 2021;S0870-2551(21)00320-6. doi:10.1016/j.repc.2021.05.006

  We are back to finish out Brain Injury Awareness Month looking at another component of the SCAT6. Today we are going to tackle what I consider to be the “OG” version of the SCAT, otherwise known as the SAC, or the Standardized Assessment of Concussion. We certainly love acronyms in sports medicine, don't we? Let's take the deep dive.    Connect with The Host! Subscribe to This Podcast Now!          The ultimate success for every podcaster – is FEEDBACK! Be sure to take just a few minutes to tell the hosts of this podcast what YOU think over at Apple Podcasts! It takes only a few minutes but helps the hosts of this program pave the way to future greatness! Not an Apple Podcasts user? No problem! Be sure to check out any of the other many growing podcast directories online to find this and many other podcasts via The Podcaster Matrix!     Housekeeping -- Get the whole story about Dr. Mark and his launch into this program, by listing to his "101" episode that'll get you educated, caught up and in tune with the Doctor that's in the podcast house! Listen Now! -- Interested in being a Guest on The Pediatric Sports Medicine Podcast? Connect with Mark today!   Links from this Episode: -- Dr. Mark Halstead: On the Web -- On X   -- McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997 Mar;48(3):586-8. doi: 10.1212/wnl.48.3.586. PMID: 9065531. https://pubmed.ncbi.nlm.nih.gov/9065531/   -- McCrea M, Kelly JP, Randolph C, Kluge J, Bartolic E, Finn G, Baxter B. Standardized assessment of concussion (SAC): on-site mental status evaluation of the athlete. J Head Trauma Rehabil. 1998 Apr;13(2):27-35. doi: 10.1097/00001199-199804000-00005. PMID: 9575254. https://pubmed.ncbi.nlm.nih.gov/9575254/   -- McCrea M. Standardized Mental Status Testing on the Sideline After Sport-Related Concussion. J Athl Train. 2001 Sep;36(3):274-279. PMID: 12937496; PMCID: PMC155418. https://pubmed.ncbi.nlm.nih.gov/12937496/   -- Daniel JC, Nassiri JD, Wilckens J, Land BC. The implementation and use of the standardized assessment of concussion at the U.S. Naval Academy. Mil Med. 2002 Oct;167(10):873-6. PMID: 12392259. https://pubmed.ncbi.nlm.nih.gov/12392259/   -- McCrea M, Guskiewicz KM, Marshall SW, Barr W, Randolph C, Cantu RC, Onate JA, Yang J, Kelly JP. Acute effects and recovery time following concussion in collegiate football players: the NCAA Concussion Study. JAMA. 2003 Nov 19;290(19):2556-63. doi: 10.1001/jama.290.19.2556. PMID: 14625332. https://pubmed.ncbi.nlm.nih.gov/14625332/   -- Valovich McLeod TC, Perrin DH, Guskiewicz KM, Shultz SJ, Diamond R, Gansneder BM. Serial administration of clinical concussion assessments and learning effects in healthy young athletes. Clin J Sport Med. 2004 Sep;14(5):287-95. doi: 10.1097/00042752-200409000-00007. PMID: 15377968. https://pubmed.ncbi.nlm.nih.gov/15377968/   -- Grubenhoff JA, Kirkwood M, Gao D, Deakyne S, Wathen J. Evaluation of the standardized assessment of concussion in a pediatric emergency department. Pediatrics. 2010 Oct;126(4):688-95. doi: 10.1542/peds.2009-2804. Epub 2010 Sep 6. PMID: 20819901. https://pubmed.ncbi.nlm.nih.gov/20819901/   -- Zimmer A, Piecora K, Schuster D, Webbe F. Sport and team differences on baseline measures of sport-related concussion. J Athl Train. 2013 Sep-Oct;48(5):659-67. doi: 10.4085/1062-6050-48.5.06. Epub 2013 Aug 16. PMID: 23952044; PMCID: PMC3784368. https://pubmed.ncbi.nlm.nih.gov/23952044/   -- Chin EY, Nelson LD, Barr WB, McCrory P, McCrea MA. Reliability and Validity of the Sport Concussion Assessment Tool-3 (SCAT3) in High School and Collegiate Athletes. Am J Sports Med. 2016 Sep;44(9):2276-85. doi: 10.1177/0363546516648141. Epub 2016 Jun 8. PMID: 27281276.

  March means two things in the world of sports medicine, not counting March Madness. The first is National Athletic Training Month. The second is Brain Injury Awareness Month. In the world of sport-related concussions, it's an ideal time to continue to bring awareness about concussions, which are a mild traumatic brain injury. I thought for this year, I'd try to go through the SCAT, or the Sport Concussion Assessment Tool and talk about what we know from an evidence-based standpoint how each of the components function. Today we are going to tackle the Maddocks questions. It's time to buckle up as we dive into the SCAT.    Connect with The Host! Subscribe to This Podcast Now!       The ultimate success for every podcaster – is FEEDBACK! Be sure to take just a few minutes to tell the hosts of this podcast what YOU think over at Apple Podcasts! It takes only a few minutes but helps the hosts of this program pave the way to future greatness! Not an Apple Podcasts user? No problem! Be sure to check out any of the other many growing podcast directories online to find this and many other podcasts via The Podcaster Matrix!     Housekeeping -- Get the whole story about Dr. Mark and his launch into this program, by listing to his "101" episode that'll get you educated, caught up and in tune with the Doctor that's in the podcast house! Listen Now! -- Interested in being a Guest on The Pediatric Sports Medicine Podcast? Connect with Mark today!   Links from this Episode: -- Dr. Mark Halstead: On the Web -- On X   -- Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-5. doi: 10.1097/00042752-199501000-00006. PMID: 7614078. https://pubmed.ncbi.nlm.nih.gov/7614078/ -- Perry Maddocks Trollope Lawyers https://www.pmtl.com.au/ -- Hohmann E, Bloomfield P, Dvorak J, Echemendia R, Frank RM, Ganda J, Gordon L, Holtzhausen L, Kourie A, Mampane J, Makdissi M, Patricios J, Pieroth E, Putukian M, Janse van Rensburg DC, Viviers P, Williams V, de Wilde J. On-Field and Pitch-Side (Sideline) Assessment of Sports Concussion in Collision Sports: An Expert Consensus Statement Using the Modified Delphi Technique. Arthroscopy. 2024 Feb;40(2):449-459.e4. doi: 10.1016/j.arthro.2023.06.026. Epub 2023 Jun 28. PMID: 37391103. https://pubmed.ncbi.nlm.nih.gov/37391103/ -- Iverson GL, Gaudet CE, Kissinger-Knox A, Gardner AJ. Examining Whether Loss of Consciousness Is Associated With Worse Performance on the SCAT5 and Slower Clinical Recovery After Concussion in Professional Athletes. J Neurotrauma. 2023 Nov;40(21-22):2330-2340. doi: 10.1089/neu.2022.0043. Epub 2023 Feb 8. PMID: 36541353. https://pubmed.ncbi.nlm.nih.gov/36541353/ -- Gardner AJ, Wojtowicz M, Terry DP, Levi CR, Zafonte R, Iverson GL. Video and clinical screening of national rugby league players suspected of sustaining concussion. Brain Inj. 2017;31(13-14):1918-1924. doi: 10.1080/02699052.2017.1358399. Epub 2017 Sep 5. PMID: 28872354. https://pubmed.ncbi.nlm.nih.gov/28872354/ -- Iverson GL, Van Patten R, Gardner AJ. Examining Whether Onfield Motor Incoordination Is Associated With Worse Performance on the SCAT5 and Slower Clinical Recovery Following Concussion. Front Neurol. 2021 Mar 1;11:620872. doi: 10.3389/fneur.2020.620872. PMID: 33732202; PMCID: PMC7956999. https://pubmed.ncbi.nlm.nih.gov/33732202/   Calls to the Audience Inside this Episode: -- Be sure to interact with the host, send detailed feedback via our customized form and connect via ALL of our social media platforms! Do that over here now! -- Interested in being a guest inside The Pediatric Sports Medicine Podcast with Dr. Mark? Tell us now! -- Ready to share your business, organization or efforts message with Dr. Mark's focused audience? Let's have a chat! -- Do you have feedback you'd like to share with Dr. Mark from this episode?

  The hip. It's an area in orthopedics that has seen exponential growth in research over the last several decades. I don't recall ever talking about hip impingement during my fellowship training 20 years ago. Yet, CAM and pincer impingement as well as labral tears in the hip are something on the differential for every patient I see with hip and groin pain. But as Thanksgiving has  passed, I'm thankful for modern medicine as my wife recently had her hip replaced. Congenital hip dysplasia was the catalyst for the need for a hip replacement at a younger age, so I've had the hip on my mind a little more than usual. And that means it's time for another research review episode…this time focusing on the hip.      Connect with The Host! Subscribe to This Podcast Now!        The ultimate success for every podcaster – is FEEDBACK! Be sure to take just a few minutes to tell the hosts of this podcast what YOU think over at Apple Podcasts! It takes only a few minutes but helps the hosts of this program pave the way to future greatness! Not an Apple Podcasts user? No problem! Be sure to check out any of the other many growing podcast directories online to find this and many other podcasts via The Podcaster Matrix!     Housekeeping -- Get the whole story about Dr. Mark and his launch into this program, by listing to his "101" episode that'll get you educated, caught up and in tune with the Doctor that's in the podcast house! Listen Now! -- Interested in being a Guest on The Pediatric Sports Medicine Podcast? Connect with Mark today!   Links from this Episode: -- Dr. Mark Halstead: On the Web -- On X -- Roberts WO, Kucera NS, Miner MH. A Pilot Study: Do Children Who Run Marathons Have More Osteoarthritis in the Lower Extremities as Adults. Clin J Sport Med. 2023 Nov 1;33(6):618-622. doi: 10.1097/JSM.0000000000001190. Epub 2023 Sep 15. PMID: 37713165. https://pubmed.ncbi.nlm.nih.gov/37713165/ -- Marom N, Olsen R, Burger JA, Dooley MS, Coleman SH, Ranawat AS, Kelly BT, Nawabi DH. Majority of competitive soccer players return to soccer following hip arthroscopy for femoroacetabular impingement: female and older aged players are less likely to return to soccer. Knee Surg Sports Traumatol Arthrosc. 2023 Jul;31(7):2721-2729. doi: 10.1007/s00167-023-07349-4. Epub 2023 Feb 21. PMID: 36809515; PMCID: PMC10523359. https://pubmed.ncbi.nlm.nih.gov/36809515/ -- Ferraro SL, Batty M, Heyworth BE, Cook DL, Miller PE, Novais EN. Acute Pelvic and Hip Apophyseal Avulsion Fractures in Adolescents: A Summary of 719 Cases. J Pediatr Orthop. 2023 Apr 1;43(4):204-210. doi: 10.1097/BPO.0000000000002355. Epub 2023 Jan 23. PMID: 36727766. https://pubmed.ncbi.nlm.nih.gov/36727766/ -- Roberts, William O MD, MS*; Nicholson, William G MD†. Youth Marathon Runners and Race Day Medical Risk Over 26 Years. Clinical Journal of Sport Medicine 20(4):p 318-321, July 2010. | DOI: 10.1097/JSM.0b013e3181e6301d https://journals.lww.com/cjsportsmed/fulltext/2010/07000/Youth_Marathon_Runners_and_Race_Day_Medical_Risk.12.aspx -- Krabak BJ, Roberts WO, Tenforde AS, et al Youth running consensus statement: minimising risk of injury and illness in youth runners British Journal of Sports Medicine 2021;55:305-318. https://bjsm.bmj.com/content/55/6/305.abstract   Calls to the Audience Inside this Episode: -- Be sure to interact with the host, send detailed feedback via our customized form and connect via ALL of our social media platforms! Do that over here now! -- Interested in being a guest inside The Pediatric Sports Medicine Podcast with Dr. Mark? Tell us now! -- Ready to share your business, organization or efforts message with Dr. Mark's focused audience? Let's have a chat! -- Do you have feedback you'd like to share with Dr. Mark from this episode? Share YOUR perspective!  

Indirect Rectus Femoris Injury Mechanisms in Professional Soccer Players: Video Analysis and Magnetic Resonance Imaging Findings Jokela A, Mechó S, Pasta G, et al. Clin J Sport Med. Published Ahead of Print. doi:10.1097/JSM.0000000000001131 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

As a former soccer player, I know firsthand just how awful shin splints can be. The dull ache at the front of my shin made me feel like I was walking on glass shards.

Should preadolescents and adolescents strength train? Is there an appropriate way to weight lift when in an athletic season? Should parents be just as involved in school athletics as they are in academics? In this episode, Jay and Jesse discuss recommendations provided from different organizations across the globe and give their expert opinions on the matter. Giveaway information: Click the link below and leave a review on your performed platform and then head over to facebook.com/mannafit/ and type done on one of the giveaway post in order to be entered in the giveaway. Giveaway ends Nov. 21 when the episode drops.https://lovethepodcast.com/waHgNwReferences:Malina RM. Weight training in youth-growth, maturation, and safety: an evidence-based review. Clin J Sport Med. 2006 Nov;16(6):478-87. doi: 10.1097/01.jsm.0000248843.31874.be. PMID: 17119361.https://www.mayoclinic.org/healthy-lifestyle/tween-and-teen-health/in-depth/strength-training/art-20047758https://www.bodybuilding.com/content/weight-lifting-for-children-and-teens.htmlhttps://www.researchgate.net/publication/267395058_STRENGTH_TRAINING_FOR_THE_YOUNG_ATHLETE Hosted on Acast. See acast.com/privacy for more information.

Warum sollten sie anders trainieren als Erwachsene? Ab wann ist es überhaupt in Ordnung zu trainieren? Können Kinder vor der Pubertät Muskulatur aufbauen (Stichwort fehlendes Testosteron)? Wieso wirkt sich das Training bei Kindern & Jugendlichen anders aus, als bei Erwachsenen? Finde es heraus! Hier bekommst du die Antwort auf all diese Fragen! Hier geht es zur A-, B- & Personal Trainer Ausbildung: https://kaf-akademie.de/ Du hast noch Fragen? Schreibe uns eine Nachricht auf Instagram: https://www.instagram.com/kafakademie.de/ Quellen: Majewski M. (2010). Epidemiologie der Sportunfalle. Basel, Schweiz: Orthopadische Universitatsklinik, Behandlungszentrum Bewegungsapparat. Muehlbauer, Thomas & Roth, Ralf & Kibele, Armin & Behm, David & Granacher, Urs. (2013). Krafttraining mit Kindern und Jugendlichen. Die Langzeit Studie MoMo (Motorik Modul): untersucht seit 2003 in regelmäßigen Abständen die Leistungsfähigkeit und Aktivität von Kindern, Jugendlichen und jungen Erwachsenen in Deutschland. Rippetoe, M. (2015). Starting Strength: Einführung ins Langhanteltraining. München, Deutschland: riva Verlag. Malina RM. Weight training in youth-growth, maturation, and safety: an evidence-based review. Clin J Sport Med. 2006 Dein Tim Kinalzyk von der KAF Akademie

What is a weighted ball velocity throwing program? Do they work, and what is the evidence of benefit? What are the risks involved and common injury patterns seen?   Host Dr. Devin McFadden, MD, is joined by Dr. Jason Zaremski, MD, to explore these topics and more on the AMSSM Sports Medcast.   Dr. Zaremski is a clinical associate professor holding a joint appointment from the Departments of Physical Medicine and Rehabilitation and the Department of Orthopaedics and Rehabilitation at the University of Florida. In addition, he is the Co-Medical Director of the Adolescent and High School Outreach Program at the University of Florida. He is a past participant in the AMSSM International Travelling Fellowship program, is a Co-Chair of the AMSSM Fellowship Committee and currently serves on the Board of Directors for the AMSSM.   In this 17 minute conversation. Dr. Zaremski addressed the following topics: Defining a weighted ball velocity program. Considering the risks and benefits of their use. Determining what populations should not use these programs and how to safely implement them if athletes decide to pursue one.   References and Resources: Zaremski JL. Weighted Ball Velocity Throwing Programs Are Effective. Are the Benefits Worth the Risk? Clin J Sport Med. 2020 Mar 11. doi: 10.1097/JSM.0000000000000822. Epub ahead of print. PMID: 33914497.   Caldwell JE, Alexander FJ, Ahmad CS. Weighted-Ball Velocity Enhancement Programs for Baseball Pitchers: A Systematic Review. Orthop J Sports Med. 2019 Feb 12;7(2):2325967118825469. doi: 10.1177/2325967118825469. PMID: 30800693; PMCID: PMC6378453.   Melugin HP, Smart A, Verhoeven M, Dines JS, Camp CL. The Evidence Behind Weighted Ball Throwing Programs for the Baseball Player: Do They Work and Are They Safe? Curr Rev Musculoskelet Med. 2021 Feb;14(1):88-94. doi: 10.1007/s12178-020-09686-0. Epub 2021 Jan 6. PMID: 33403626; PMCID: PMC7930148.   Reinold MM, Macrina LC, Fleisig GS, Aune K, Andrews JR. Effect of a 6-Week Weighted Baseball Throwing Program on Pitch Velocity, Pitching Arm Biomechanics, Passive Range of Motion, and Injury Rates. Sports Health. 2018 Jul-Aug;10(4):327-333. doi: 10.1177/1941738118779909. Epub 2018 Jun 8. PMID: 29882722; PMCID: PMC6044122.   Reinold MM, Macrina LC, Fleisig GS, Drogosz M, Andrews JR. Acute Effects of Weighted Baseball Throwing Programs on Shoulder Range of Motion. Sports Health. 2020 Sep/Oct;12(5):488-494. doi: 10.1177/1941738120925728. Epub 2020 Jun 29. PMID: 32598234; PMCID: PMC7485027.   Erickson BJ, Atlee TR, Chalmers PN, Bassora R, Inzerillo C, Beharrie A, Romeo AA. Training With Lighter Baseballs Increases Velocity Without Increasing the Injury Risk. Orthop J Sports Med. 2020 Mar 26;8(3):2325967120910503. doi: 10.1177/2325967120910503. PMID: 32258183; PMCID: PMC710359

What is a weighted ball velocity throwing program? Do they work, and what is the evidence of benefit? What are the risks involved and common injury patterns seen? Host Dr. Devin McFadden, MD is joined by Dr. Jason Zaremski, MD to explore these topics and more on the AMSSM Sports Medcast. Dr. Zaremski is a clinical associate professor holding a joint appointment from the Departments of Physical Medicine and Rehabilitation and the, Department of Orthopaedics and Rehabilitation at the University of Florida. In addition he is the Co-Medical Director of the Adolescent and High School Outreach Program at the University of Florida. He is a past participant in the AMSSM International Travelling Fellowship program, is a Co-Chair of the AMSSM Fellowship Committee and currently serves on the Board of Directors for the AMSSM. In this 17 minute conversation Dr. Zaremski addressed the following topics: Defining a weighted ball velocity program Considering the risks and benefits of their use Determining what populations should not use these programs and how to safely implement them if athletes decide to pursue one. Zaremski JL. Weighted Ball Velocity Throwing Programs Are Effective. Are the Benefits Worth the Risk? Clin J Sport Med. 2020 Mar 11. doi: 10.1097/JSM.0000000000000822. Epub ahead of print. PMID: 33914497. Caldwell JE, Alexander FJ, Ahmad CS. Weighted-Ball Velocity Enhancement Programs for Baseball Pitchers: A Systematic Review. Orthop J Sports Med. 2019 Feb 12;7(2):2325967118825469. doi: 10.1177/2325967118825469. PMID: 30800693; PMCID: PMC6378453. Melugin HP, Smart A, Verhoeven M, Dines JS, Camp CL. The Evidence Behind Weighted Ball Throwing Programs for the Baseball Player: Do They Work and Are They Safe? Curr Rev Musculoskelet Med. 2021 Feb;14(1):88-94. doi: 10.1007/s12178-020-09686-0. Epub 2021 Jan 6. PMID: 33403626; PMCID: PMC7930148.

In 2017, John Leddy, MD, FAMSSM, led a team of researchers that received the first AMSSM CRN $300,000 Multi-Site Research Grant, which supports quality, multi-site research to address key priority areas within the field of sports medicine. Christina Master, MD, and William Meehan III, MD, served as co-principal investigators for the research project titled “Sub-symptom aerobic exercise therapy to improve recovery from acute sport-related concussion: A randomized controlled trial.” On the inaugural CRN Spotlight podcast, Dr. Leddy discusses his research with Dr. Jake Wessels, and answers the following questions: What did your research entail, and why did you choose to apply for CRN funding? How did you initially come to the idea for these research efforts? What are some of the findings regarding this study? How did you go about collecting the data for this research? Can this research provide guidance for clinicians when it comes to return-to-play considerations? Are there aspects to this grant funding that are unique to the CRN, compared to other funding opportunities? Learn more about Dr. Leddy’s research, which is unpublished as of this episode’s release: https://www.amssm.org/amssm-awards-$300000-rese-p-219.html?StartPos=&Type Resources: Bezherano I, Haider MN, Willer BS, Leddy JJ. Practical Management: Prescribing Subsymptom Threshold Aerobic Exercise for Sport-Related Concussion in the Outpatient Setting. Clin J Sport Med. 2020 Feb 13. doi: 10.1097/JSM.0000000000000809. Epub ahead of print. PMID: 32058454. Leddy JJ, Haider MN, Ellis MJ, Mannix R, Darling SR, Freitas MS, Suffoletto HN, Leiter J, Cordingley DM, Willer B. Early Subthreshold Aerobic Exercise for Sport-Related Concussion: A Randomized Clinical Trial. JAMA Pediatr. 2019 Apr 1;173(4):319-325. doi: 10.1001/jamapediatrics.2018.4397. PMID: 30715132 Leddy JJ, Haider MN, Ellis M, Willer BS. Exercise is Medicine for Concussion. Curr Sports Med Rep. 2018 Aug;17(8):262-270. doi: 10.1249/JSR.0000000000000505. PMID: 30095546; PMCID: PMC6089233.

Our guest today is Alejandra Merriman, Sports Medicine Instructor and Clinician at Dorsey High School in South Central Los Angeles. In this episode we discuss the lack of access to Athletic Trainers in Los Angeles (LA) and its implications to the health of athletes in underserved communities of LA. Show Notes Latinx Athletic Trainers Access to ATs in CA CA has the second largest number of athletes of any state, with 40% of those athletes at schools without an AT or with another healthcare provider5 % number of students eligible for free lunch (criteria applied for national school lunch program, submitting household income forms, student homeless/migrant status) Roughly 90 high schools in LAUSD with sports 6 of them have an ATC 42 high schools have 90+ % of students that are eligible for free lunch Basically, the other 40+ schools have 50% of their student body eligible for free lunch Actions items for ATs to walk away with from this discussion Participate in CATA upcoming virtual hit the hill If you have relationships with LAUSD athletic directors, have a conversation: AT Last can guide you with this Contact AT Last for questions collaboration References McLeod TCV, Cardenas JF. Emergency preparedness of secondary school athletic programs in Arizona. Journal of Athletic Training. 2019;54(2):133-141. Johnson ST, Norcross MF, Bovbjerg VE, Hoffman MA, Chang E, Koester MC. Sports-related emergency preparedness in oregon high schools. Sports Health. 2017;9(2):181-184. Post E, Winterstein AP, Hetzel SJ, Lutes B, McGuine TA. School and community socioeconomic status and access to athletic trainer services in wisconsin secondary schools. Journal of Athletic Training. 2019;54(2):177-181. Kroshus E, Rivara FP, Whitlock KB, Herring SA, Chrisman SPD. Disparities in athletic trainer staffing in secondary school sport: implications for concussion identification. Clin J Sport Med. 2017;27(6):542-547. Post EG, Roos KG, Rivas S, Kasamatsu TM, Bennett J. Access to athletic trainer services in california secondary schools. Journal of Athletic Training. 2019;54(12):1229-1236. Adler NE, Newman K. Socioeconomic disparities in health: pathways and policies. Health Affairs. 2002;21(2):60-76. Reback R. Investments in students' physical and mental health inCalifornia's public schools. Getting Down to Facts II Web site.https://gettingdowntofacts.com/publications/investments-studentsphysical-and-mental-health-californias-public-schools. Published2018. Accessed September 4, 2019. Simon JE, Wikstrom EA, Grooms DR, Docherty CL, Dompier TP, Kerr ZY. Athletic training service characteristics for patients with ankle sprains sustained during high school athletics. Journal of Athletic Training. 2019;54(6):676-683. Adams WM, Scarneo SE, Casa DJ. State-level implementation of health and safety policies to prevent sudden death and catastrophic injuries within secondary school athletics. Orthop J Sports Med. 2017;5(9):2325967117727262. Contact/Support/Questions/Comments How to contact the initiative to support, collaborate, ask questions: Email: atlast@atvantagepodcasts.com GoFundMe https://www.gofundme.com/f/increasing-diversity-in-athletic-training (https://www.gofundme.com/f/increasing-diversity-in-athletic-training) CATA virtual symposium 2021 Registration link: https://cvent.me/vvQyay (https://cvent.me/vvQyay) Guest Contact info LinkedIn: https://www.linkedin.com/in/alejandra-merriman-dat-atc-ces-56196787/ (https://www.linkedin.com/in/alejandra-merriman-dat-atc-ces-56196787/) LatinxATs Twitter: @LatinxATs Facebook: https://www.facebook.com/groups/500517684009280/ (https://www.facebook.com/groups/500517684009280/) Instagram: @LatinxATs Gratitude and Blessings Artwork by Jason Eisenberg Instagram: @dots_and_squares LinkedIn: https://www.linkedin.com/in/jasoneisenberg00/ (https://www.linkedin.com/in/jasoneisenberg00/) Intro/Outro music by Willie B the Ichiban Don Instagram:...

Twitter: @Happysport_dk According to the literature, a substantial reduction in injury rates in youth sport is achievable. So why isn’t this translating into meaningful injury prevention in the real world? And what can we do about it? In this episode, Dr. Erin Macri asks Dr. Merete Møller to share her powerful insights on this topic and to introduce a novel research project (the HAPPY project) that aims to bridge the gap from injury prevention trials to real-world results on the field. Related Articles and Links Soomro N, Sanders R, Hackett D, et al. The Efficacy of Injury Prevention Programs in Adolescent Team Sports: A Meta-analysis. Am J Sports Med. 2016;44(9):2415‐2424. doi:10.1177/0363546515618372 Owoeye OBA, Palacios-Derflingher LM, Emery CA. Prevention of Ankle Sprain Injuries in Youth Soccer and Basketball: Effectiveness of a Neuromuscular Training Program and Examining Risk Factors. Clin J Sport Med. 2018;28(4):325‐331. doi:10.1097/JSM.0000000000000462 Emery CA, van den Berg C, Richmond SA, et al. Implementing a junior high school-based programme to reduce sports injuries through neuromuscular training (iSPRINT): a cluster randomised controlled trial (RCT) [published online ahead of print, 2019 Dec 10]. Br J Sports Med. 2019;bjsports-2019-101117. Sakata J, Nakamura E, Suzuki T, et al. Throwing Injuries in Youth Baseball Players: Can a Prevention Program Help? A Randomized Controlled Trial. Am J Sports Med. 2019;47(11):2709‐2716. doi:10.1177/0363546519861378 Bekker, S., Paliadelis, P. & Finch, C.F. The translation of sports injury prevention and safety promotion knowledge: insights from key intermediary organisations. Health Res Policy Sys 15, 25 (2017). https://doi.org/10.1186/s12961-017-0189-5 O'Brien J, Finch CF. The implementation of musculoskeletal injury-prevention exercise programmes in team ball sports: a systematic review employing the RE-AIM framework. Sports Med. 2014;44(9):1305‐1318. doi:10.1007/s40279-014-0208-4 Lindblom H, Carlfjord S, Hägglund M. Adoption and use of an injury prevention exercise program in female football: A qualitative study among coaches. Scand J Med Sci Sports. 2018;28(3):1295‐1303. doi:10.1111/sms.13012 Ageberg E, Bunke S, Lucander K, Nilsen P, Donaldson A. Facilitators to support the implementation of injury prevention training in youth handball: A concept mapping approach. Scand J Med Sci Sports. 2019;29(2):275‐285. doi:10.1111/sms.13323 Richmond SA, Donaldson A, Macpherson A, et al. Facilitators and Barriers to the Implementation of iSPRINT: A Sport Injury Prevention Program in Junior High Schools. Clin J Sport Med. 2020;30(3):231‐238. doi:10.1097/JSM.0000000000000579

In this podcast, Professor Brent Hagel, University of Calgary, Alberta, Canada, tells Editor-in-Chief of Injury Prevention, Rod McLure, how his career as a scientist moved from an undergraduate degree in health education through to injury prevention in sports and more recently to methods of encouraging physical activity within a safe environment. The conversation evolves to a detailed discussion of the rigorous methodological approaches used in injury prevention. The articles mentioned in this podcast are: - Hagel BE, Meeuwisse WH, Mohtadi NG, Fick GH.Skiing and snowboarding injuries in the children and adolescents of Southern Alberta.Clin J Sport Med. 1999 Jan;9(1):9-17; - Thompson DC, Rivara FP, Thompson RS.Effectiveness of bicycle safety helmets in preventing head injuries. A case-control study.JAMA. 1996 Dec 25;276(24):1968-73; - Roberts I, Marshall R, Lee-Joe T. The urban traffic environment and the risk of child pedestrian injury: a case-crossover approach. Epidemiology. 1995 Mar;6(2):169-71; - Runyan CW. Using the Haddon matrix: introducing the third dimension. Inj Prev. 1998 Dec;4(4):302-7 (https://injuryprevention.bmj.com/content/4/4/302).

Chris gets surprisingly aggressive (and hairy) during a football match, which leads the boys to discuss concussions. Jacob goes to a hockey game and finds a lot of people who are intimately familiar with mild traumatic brain injuries. How common are they, what's the treatment for them, and should you let someone with a concussion fall asleep? Perhaps more importantly, would you let your kid play football (or hockey)? Also: a new iteration of the Canadian Food Guide gets rid of food groups; talcum powder strikes back; probiotics make surprising appearances in our food supply if we are to believe Canadians; and a joke few people will get. It's Skeptics with a—wait, wrong show.   Vox pop by Jacob Meza of the So It Is Told podcast.   Jingle by Joseph Hackl.   Additional music by Seth Donnelly and Kevin MacLeod.   Theme music: "Troll of the Mountain Swing" by the Underscore Orkestra.   To contribute to The Body of Evidence, go to our Patreon page at: http://www.patreon.com/thebodyofevidence/.   Patrons get a bonus show on Patreon called “Digressions”! Check it out!   —   References   *Studies showing that helmet use reduces injuries in sports   1. Johnston KM, McCrory P, Mohtadi NG, Meeuwisse W. Evidence-Based review of sport-related concussion: clinical science. Clin J Sport Med 2001; 11:150.   2. Sulheim S, Holme I, Ekeland A, Bahr R. Helmet use and risk of head injuries in alpine skiers and snowboarders. JAMA 2006; 295:919.   3. Russell K, Christie J, Hagel BE. The effect of helmets on the risk of head and neck injuries among skiers and snowboarders: a meta-analysis. CMAJ 2010; 182:333.   4. Hollis SJ, Stevenson MR, McIntosh AS, et al. Incidence, risk, and protective factors of mild traumatic brain injury in a cohort of Australian nonprofessional male rugby players. Am J Sports Med 2009; 37:2328.   *Study of cognitive rest in adolescents post concussion   Thomas DG, Apps JN, Hoffmann RG, et al. Benefits of strict rest after acute concussion: a randomized controlled trial. Pediatrics 2015; 135:213.   *Study about prognosis post concussion   Triebel KL, Martin RC, Novack TA, et al. Treatment consent capacity in patients with traumatic brain injury across a range of injury severity. Neurology 2012; 78:1472.   *Studies about CTE    1. Bieniek KF, Ross OA, Cormier KA, et al. Chronic traumatic encephalopathy pathology in a neurodegenerative disorders brain bank. Acta Neuropathol 2015; 130:877.   2. Mez J, Daneshvar DH, Kiernan PT, et al. Clinicopathological Evaluation of Chronic Traumatic Encephalopathy in Players of American Football. JAMA 2017; 318:360.   *Study linking NFL and Alzheimer's Lehman EJ, Hein MJ, Baron SL, Gersic CM. Neurodegenerative causes of death among retired National Football League players. Neurology 2012; 79:1970.

The following is a short list of salient points related to the podcast and the corresponding source literature. As always, read the source literature and critically appraise it for yourself. Take none of the following as a substitution for local protocol or procedure. 2018 NAEMSP Spinal Immobilization paper https://naemsp.org/resources/position-statements/spinal-immobilization/ Securing a patient to the stretcher mattress significantly reduces lateral motion: Am J Emerg Med. 2016 Apr;34(4):717-21. doi: 10.1016/j.ajem.2015.12.078. Epub 2015 Dec 30. C-Collar limits visible external motion in the intact spine, but not internal motion in the unstable injured spine: Horodyski M, DiPaola CP, Conrad BP, Rechtine GR 2nd. Cervical collars are insufficient for immobilizing an unstable cervical spine injury. J Emerg Med. 2011 Nov;41(5):513-9. doi: 10.1016/j.jemermed.2011.02.001. Epub 2011 Mar 12. PubMed PMID: 21397431. C-Collar increases ICP: Davies G, Deakin C, Wilson A. The effect of a rigid collar on intracranial pressure. Injury. 1996 Nov;27(9):647-9. PubMed PMID: 9039362. C-Collar causes distraction of unstable C-spine: Ben-Galim P, Dreiangel N, Mattox KL, Reitman CA, Kalantar SB, Hipp JA. Extrication collars can result in abnormal separation between vertebrae in the presence of a dissociative injury. J Trauma. 2010 Aug;69(2):447-50. doi:10.1097/TA.0b013e3181be785a. PubMed PMID: 20093981. Lador R, Ben-Galim P, Hipp JA. Motion within the unstable cervical spine during patient maneuvering: the neck pivot-shift phenomenon. J Trauma. 2011 Jan;70(1):247-50; discussion 250-1. doi: 10.1097/TA.0b013e3181fd0ebf. PubMed PMID: 21217496. Spinal immobilization negatively impacts the physical exam: March J et al. Changes In Physical Examination Caused by Use of Spinal Immobilization. Prehosp Emerg Care 2002; 6(4): 421 – 4. PMID: 12385610 Chan D, Goldberg R, Tascone A, Harmon S, Chan L. The effect of spinal immobilization on healthy volunteers. Ann Emerg Med. 1994 Jan;23(1):48-51. PubMed PMID: 8273958. Chan D, Goldberg RM, Mason J, Chan L. Backboard versus mattress splint immobilization: a comparison of symptoms generated. J Emerg Med. 1996 May-Jun;14(3):293-8. PubMed PMID: 8782022. Even Manual In Line Stabilization alone increased difficulty during intubation and increases forces applied to the neck: Thiboutot F, Nicole PC, Trépanier CA, Turgeon AF, Lessard MR. Effect of manual in-line stabilization of the cervical spine in adults on the rate of difficult orotracheal intubation by direct laryngoscopy: a randomized controlled trial. Can J Anaesth. 2009 Jun;56(6):412-8. doi: 10.1007/s12630-009-9089-7. Epub 2009 Apr 24. PubMed PMID: 19396507. Santoni BG, Hindman BJ, Puttlitz CM, Weeks JB, Johnson N, Maktabi MA, Todd MM. Manual in-line stabilization increases pressures applied by the laryngoscope blade during direct laryngoscopy and orotracheal intubation. Anesthesiology. 2009 Jan;110(1):24-31. doi: 10.1097/ALN.0b013e318190b556. PubMed PMID: 19104166. Spinal immobilization makes it harder to breath and decreases forced expiratory volume: “...produce a significantly restrictive effect on pulmonary function in the healthy, nonsmoking man.” Chan, D., Goldberg, R., Tascone, A., Harmon, S., & Chan, L. (1994). The effect of spinal immobilization on healthy volunteers. Annals of Emergency Medicine, 23(1), 48–51. https://doi.org/10.1016/S0196-0644(94)70007-9 Schafermeyer RW, Ribbeck BM, Gaskins J, Thomason S, Harlan M, Attkisson A. Respiratory effects of spinal immobilization in children. Ann Emerg Med. 1991 Sep;20(9):1017-9. PubMed PMID: 1877767. Totten VY, Sugarman DB. Respiratory effects of spinal immobilization. Prehosp Emerg Care. 1999 Oct-Dec;3(4):347-52. PubMed PMID: 10534038. Prehospital providers can effectively apply selective immobilization criteria without causing harm: Domeier, R. M., Frederiksen, S. M., & Welch, K. (2005). Prospective performance assessment of an out-of-hospital protocol for selective spine immobilization using clinical spine clearance criteria. Annals of Emergency Medicine, 46(2), 123–131. https://doi.org/10.1016/j.annemergmed.2005.02.004 Out of 32,000 trauma encounters, a prehospital clearance protocol resulted in ONE patient with an unstable injury that was not immobilized. This patient injured her back one week prior, required fixation, but had no neurological injury: Burton, J.H., Dunn, M.G., Harmon, N.R., Hermanson, T.A., and Bradshaw, J.R. A statewide, prehospital emergency medical service selective patient spine immobilization protocol. J Trauma. 2006; 61: 161–167 Ambulatory patients self extricating with a cervical collar results in less cervical spine motion than with the use of a backboard: Shafer, J. S., & Naunheim, R. S. (2009). Cervical Spine Motion During Extrication: A Pilot Study. Western Journal of Emergency Medicine, 10(2), 74–78. https://doi.org/10.1016/j.jemermed.2012.02.082 Engsberg JR, Standeven JW, Shurtleff TL, Eggars JL, Shafer JS, Naunheim RS. Cervical spine motion during extrication. J Emerg Med. 2013 Jan;44(1):122-7. doi:10.1016/j.jemermed.2012.02.082. Epub 2012 Oct 15. PubMed PMID: 23079144 Lift and slide technique is superior to log roll: Boissy, P., Shrier, I., Brière, S. et al. Effectiveness of cervical spine stabilization techniques. Clin J Sport Med. 2011; 21: 80–88 Despite there not being any randomized control trials evaluating spinal immobilization, patients transferred to hospitals immobilized have more disability than those transported without immobilization: Hauswald, M., Ong, G., Tandberg, D., and Omar, Z. Out-of-hospital spinal immobilization: its effect on neurologic injury. Acad Emerg Med. 1998; 5: 214–219 “Mechanism of injury does not affect the ability of clinical criteria to predict spinal injury” Domeier, R.M., Evans, R.W., Swor, R.A. et al. The reliability of prehospital clinical evaluation for potential spinal injury is not affected by the mechanism of injury.Prehosp Emerg Care. 1999; 3: 332–337 Spinal immobilization in penetrating trauma is associated with an increased risk of death: Vanderlan, W.B., Tew, B.E., and McSwain, N.E. Jr. Increased risk of death with cervical spine immobilisation in penetrating cervical trauma. Injury. 2009; 40: 880–88 Stuke, L.E., Pons, P.T., Guy, J.S., Chapleau, W.P., Butler, F.K., and McSwain, N.E.Prehospital spine immobilization for penetrating trauma-review and recommendations from the Prehospital Trauma Life Support Executive Committee. J Trauma. 2011; 71: 763–769 “The number needed to treat with spine immobilization to potentially benefit one patient was 1,032. The number needed to harm with spine immobilization to potentially contribute to one death was 66.” Haut, E.R., Kalish, B.T., Efron, D.T. et al. Spine immobilization in penetrating trauma: more harm than good?. J Trauma. 2010; 68: 115–121 Vanderlan WB, Tew BE, Seguin CY, Mata MM, Yang JJ, Horst HM, Obeid FN, McSwain NE. Neurologic sequelae of penetrating cervical trauma. Spine (Phila Pa 1976). 2009 Nov 15;34(24):2646-53. doi: 10.1097/BRS.0b013e3181bd9df1. PubMed PMID: 19881402. Velopulos CG, Shihab HM, Lottenberg L, Feinman M, Raja A, Salomone J, Haut ER. Prehospital spine immobilization/spinal motion restriction in penetrating trauma: A practice management guideline from the Eastern Association for the Surgery of Trauma (EAST). J Trauma Acute Care Surg. 2018 May;84(5):736-744. doi:10.1097/TA.0000000000001764. PubMed PMID: 29283970. Use of LSB can cause sufficient pressure to create pressure ulcers in a short period of time: Cordell W:H, Hollingsworth JC, Olinger ML, Stroman SJ, Nelson DR. Pain and tissue-interface pressures during spine-board immobilization. Ann Emerg Med. 1995 Jul;26(1):31-6. PubMed PMID: 7793717. The natural progression of some C-spine injuries is to get worse, sometimes because we force them into immobilization devices, sometimes because of hypotension, vascular injury, or hypoxia, but surprisingly not because of EMS providers… Harrop JS, Sharan AD, Vaccaro AR, Przybylski GJ. The cause of neurologic deterioration after acute cervical spinal cord injury. Spine (Phila Pa 1976). 2001 Feb 15;26(4):340-6. PubMed PMID: 11224879. Reports of asymptomatic but clinically important spine injuries are, at best, dubious: McKee TR, Tinkoff G, Rhodes M. Asymptomatic occult cervical spine fracture: case report and review of the literature. J Trauma. 1990 May;30(5):623-6. Review. PubMed PMID: 2188001. Bresler MJ, Rich GH. Occult cervical spine fracture in an ambulatory patients. Ann Emerg Med. 1982 Aug;11(8):440-2. PubMed PMID: 7103163.

We are back for another season of PT Inquest with more tendinopathy talk! There are a couple studies that have shown that high load, long duration isometrics reduce pain, but would short duration be just as effective as long as time under tension was held constant? And are the effects only on pain or is there something more specific going on? Immediate and Short-Term Effects of Short- and Long-Duration Isometric Contractions in Patellar Tendinopathy. Pearson SJ, Stadler S, Menz H, Morrissey D, Scott I, Munteanu S, Malliaras P. Clin J Sport Med. 2018 Aug 8. doi: 10.1097/JSM.0000000000000625. [Epub ahead of print] Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

It's Memorial Hermann Ironman Texas time here in Montgomery County, and our MCHD crews are preparing to staff the 140.6 mile triathlon. After fielding multiple questions about hyponatremia and hypothermia in ultra-endurance athletes, we decided that a podcast discussion was in order. The MCHD Paramedic Podcast crew were lucky enough to have Dr. Kevin Schulz, Medical Director for Memorial Hermann Ironman Texas, join us to talk Ironman medicine. Sit back, relax and enjoy the ride...we promise it won't hurt as bad as 112 miles on a bike! References: Hew-Butler T, Rosner MH, et al. Statement of the Third International Exercise-Associated Hyponatremia Consensus Development Conference, Carlsbad, California, 2015. Clin J Sport Med. 2015 Jul;25(4):303-20.

Prof. Roald Bahr is a world-renowned name in Sports Medicine. He is a member of the IOC medical committee and a Professor in Sports Medicine. He acts as the Head of the Aspetar Sports Injury & Illness Prevention Programme and also Chair of the Oslo Sports Trauma Research Center at the Norwegian School of Sports Sciences. Prof. Bahr's main research area is the prevention of injury and illness in athletes, and has published more than 200 papers and book chapters. He was speaking at the IOC Advanced Team Physician Course in Doha, Qatar when BJSM caught up with him. In this podcast, Dr Liam West (@Liam_West) poses questions that see Prof. Bahr take listeners through various Return To Play (RTP) frameworks and how we should be willing to accept risk during the RTP period. Relevant Reading: Creighton DW, Shrier I, Shultz R, et al. Return-to-play in sport: a decision-based model. Clin J Sport Med 2010;20:379–85. http://journals.lww.com/cjsportsmed/Abstract/2010/09000/Return_to_Play_in_Sport__A_Decision_based_Model.12.aspx Herring SA, Kibler WB, Putukian M. The team physician and the return-to-play decision: a consensus statement-2012 update. Med Sci Sports Exerc 2012;44:2446–8. http://europepmc.org/abstract/med/23160348 Shrier I, Safai P, Charland L. Return to play following injury: whose decision should it be? Br J Sports Med 2014:48:394-401 http://bjsm.bmj.com/search?submit=yes&y=0&fulltext=risk%20management&x=0&FIRSTINDEX=10 IOC Sports Medicine Diploma – http://www.iocsportsmedicine.com/ IOC Sports Nutrition Diploma - http://www.sportsoracle.com/Nutrition/Home/ https://twitter.com/bjsm_bmj https://www.facebook.com/BJSM.BMJ https://plus.google.com/+BJSMVideos/posts BJSM App iTunes - https://itunes.apple.com/us/app/bjsm/id943071687?mt=8 Google Play - https://play.google.com/store/apps/details?id=com.goodbarber.bjsm